Phoua Diane Vang

Primary specialty

PharmacistTaxonomy code 183500000X

License

75719 Issued in CA

Practice address

1002 Jennings Ave
Apt 208
Santa Rosa, CA 95401-4293

Phone

(559) 800-3596

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1740731678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "address_2": "ROOM #2117",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-393-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 JENNINGS AVE",
            "address_2": "APT 208",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014293",
            "telephone_number": "559-800-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "PHOUA",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Drew Vandell, PSY.D.
• Julia Vander Vennet
• Sonya A. Vanderheiden, MD
• Christopher Nhiawa Vang, PHARMD
• Linda Vang, OD
• Vanguard Performance, LLC (Vanguard Performance)
• Srilakshmi Vankina, MD
• Shawn Elizabeth Vanleuven
• Charlotte Vannoppen
• Jennifer Vargas Dominguez

• Pharmacist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.